Need for Process Reengineering in Healthcare Bhudeb Chakravarti Senior General Manager & Region Head National Institute fo...
<ul><li>Long Queues at OPD </li></ul><ul><li>Air of Mystification about status of patient </li></ul><ul><li>There is no ne...
Symptoms of In-Efficient HIS <ul><li>Extensive Information Exchange & Multiple Entry of Data (Some data not verified)  </l...
Value to Patient <ul><li>The core issue in Healthcare is the value of healthcare delivered </li></ul><ul><li>The extent of...
Recommended Steps <ul><li>Streamline Key Processes through Business Process Re-engineering (BPR) </li></ul><ul><li>Capture...
Definition of BPR <ul><li>Business Process Reengineering is </li></ul><ul><ul><ul><li>“ the fundamental rethinking and red...
Basic Principles of BPR <ul><li>Organize around outcomes, not tasks </li></ul><ul><li>Identify all the processes in an org...
Key Process Parameters Safety and Quality Effective and Evidence Based Patient Centered: Patient Values Guide Devisions Ti...
Transformation of Healthcare Professionals as Authorities   Professionals as Partners   Professionals as Facilitators Se...
Collaboration & Standardisation Investigation Labs Pharmacies Employer Equipment Suppliers PATIENT Insurance Providers Hea...
NKC Recommendations <ul><li>Initiate development of Indian Health Information Network </li></ul><ul><li>Establish national...
Recommended Functionalities <ul><li>Wide Area Health Network </li></ul><ul><li>EMR including Physician Order Entry System ...
Conclusion <ul><li>Knowing is not enough;  </li></ul><ul><li>we must apply. </li></ul><ul><li>Willing is not enough;  </li...
Any Queries [email_address]
Upcoming SlideShare
Loading in...5
×

Health Systems Strengthening Innovations In Policy, Processes and Technology- Bhudeb Chakravarti, National Institute for Smart

261

Published on

Published in: Health & Medicine, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
261
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Transcript of "Health Systems Strengthening Innovations In Policy, Processes and Technology- Bhudeb Chakravarti, National Institute for Smart"

  1. 1. Need for Process Reengineering in Healthcare Bhudeb Chakravarti Senior General Manager & Region Head National Institute for Smart Government
  2. 2. <ul><li>Long Queues at OPD </li></ul><ul><li>Air of Mystification about status of patient </li></ul><ul><li>There is no need assessment of requirement of “Admission to Hospital” or “Days of Stay” </li></ul><ul><li>Multiple Visits to Hospitals for same treatment </li></ul><ul><ul><ul><li>Sometimes to other hospitals (so called Multi-Speciality Hospitals) </li></ul></ul></ul><ul><li>Outcome is in Suspense (Either time of cure or chance of cure) </li></ul><ul><li>Poor Quality of Service (Most of the time it is next to impossible to measure the Quality) </li></ul><ul><li>Doctor is the Final Decision Maker </li></ul>Symptoms of Poor Healthcare Processes
  3. 3. Symptoms of In-Efficient HIS <ul><li>Extensive Information Exchange & Multiple Entry of Data (Some data not verified) </li></ul><ul><li>Doctors now suffer from the “information paradox”, drowning in information but cannot find the information they need </li></ul><ul><li>Patient information is often neither evidence based nor easily accessible </li></ul><ul><li>No EMR  No way of accessing Critical Care Data </li></ul><ul><li>Too many Controls and Checks </li></ul><ul><li>60% of Clinician time is spent searching or waiting for patient information </li></ul><ul><li>Exception is the Rule </li></ul>
  4. 4. Value to Patient <ul><li>The core issue in Healthcare is the value of healthcare delivered </li></ul><ul><li>The extent of medical errors is largely unknown </li></ul><ul><ul><li>Unnecessary deaths are attributed to medication related errors, unneeded or ineptly performed surgeries </li></ul></ul><ul><ul><li>Heavy reliance on paper based patient records in medical institutions </li></ul></ul><ul><ul><li>Untimely or mistaken diagnoses </li></ul></ul><ul><ul><li>Repeat of the data collection process (in the process missing some vital test results) </li></ul></ul><ul><ul><li>Old factors are often missed as data not available </li></ul></ul>
  5. 5. Recommended Steps <ul><li>Streamline Key Processes through Business Process Re-engineering (BPR) </li></ul><ul><li>Capture Information at Source </li></ul><ul><li>Identify Key Performance Indicators and Evaluate the Performance Accordingly </li></ul><ul><li>Simplify Reporting Formats </li></ul><ul><li>Single Integrated Collection of Data (No Multiple Registers) </li></ul><ul><li>Track and Monitor Each Process on Regular basis </li></ul><ul><li>All the information available to professional should be available to patients </li></ul>
  6. 6. Definition of BPR <ul><li>Business Process Reengineering is </li></ul><ul><ul><ul><li>“ the fundamental rethinking and redesign of business processes to achieve dramatic improvements in critical contemporary measures of performance such as cost, quality, service and speed.” </li></ul></ul></ul><ul><ul><ul><ul><ul><li>- Hammer and Champy </li></ul></ul></ul></ul></ul>
  7. 7. Basic Principles of BPR <ul><li>Organize around outcomes, not tasks </li></ul><ul><li>Identify all the processes in an organization and prioritize them in order of redesign urgency </li></ul><ul><li>Integrate information processing work into the real work that produces the information </li></ul><ul><li>Treat geographically dispersed resources as though they were centralized </li></ul><ul><li>Link parallel activities in the workflow instead of just integrating their results </li></ul><ul><li>Put the decision point where the work is performed, and build control into the process </li></ul><ul><li>Capture information once and at the source </li></ul>
  8. 8. Key Process Parameters Safety and Quality Effective and Evidence Based Patient Centered: Patient Values Guide Devisions Timely: Reduced Waiting Times and Delays Efficient: Avoid Wastes Equitable: Care doesn’t vary by Gender, Class or Status
  9. 9. Transformation of Healthcare Professionals as Authorities  Professionals as Partners  Professionals as Facilitators Self Help Networks Friends and Family Individual Self Care Reduced Cost, Increased Value
  10. 10. Collaboration & Standardisation Investigation Labs Pharmacies Employer Equipment Suppliers PATIENT Insurance Providers Healthcare Providers
  11. 11. NKC Recommendations <ul><li>Initiate development of Indian Health Information Network </li></ul><ul><li>Establish national standards for clinical terminology and health informatics </li></ul><ul><li>Create a common electronic health record (EHR) </li></ul><ul><li>Frame policies to promote use of IT in health care </li></ul><ul><li>Create appropriate policy framework to protect health data of citizens </li></ul><ul><li>Medical Informatics to be part of medical and paramedical curriculum </li></ul><ul><li>Create an institution framework for implementation </li></ul>
  12. 12. Recommended Functionalities <ul><li>Wide Area Health Network </li></ul><ul><li>EMR including Physician Order Entry System (e-Prescriptions and e-Referral) </li></ul><ul><li>Reduction of waiting Times between when Lab Results are requested and when they are delivered through the utilisation of faster communication technologies such as email. </li></ul><ul><li>Reconfigure laboratories so that they can perform the most frequently requested tests faster </li></ul><ul><li>Share critical patients between Hospitals so that both facilities have similar capacity levels. This is more efficient than taking on patients until capacity is reached </li></ul><ul><li>Synchronise the physical and virtual parts of processes </li></ul><ul><li>Clinical Decision Support systems (CDS) must be carefully designed so that they are reliable and accurate </li></ul>
  13. 13. Conclusion <ul><li>Knowing is not enough; </li></ul><ul><li>we must apply. </li></ul><ul><li>Willing is not enough; </li></ul><ul><li>we must do. </li></ul><ul><li>- Johann Wolfgang von Goethe </li></ul>
  14. 14. Any Queries [email_address]

×